Individual
CHARLES D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2348
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CW147066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4833219
—
MI
01
—
P00288671
RAILROAD MEDICARE
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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